Jack Sallaberry, is a
Student In An Organized Health Care Education/training Program based in San Mateo, California. Jack Sallaberry is licensed to practice in * (Not Available) (license number ) and his current practice location is
2000 Alameda De Las Pulgas, San Mateo, California. He can be reached at his office (for appointments etc.) via phone at
(650) 573-2501.
NPI number for Jack Sallaberry is 1821831900 and his current mailing address is 571 Arlington Ave, Berkeley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821831900.
Healthcare Provider's Profile
| Full Name | Jack Sallaberry |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2000 Alameda De Las Pulgas, San Mateo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821831900
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Jack Sallaberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821831900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Sallaberry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack Sallaberry,
571 Arlington Ave,
Berkeley, CA 94707-1641
Ph: (916) 288-5811 | Jack Sallaberry,
2000 Alameda De Las Pulgas,
San Mateo, CA 94403-1269
Ph: (650) 573-2501 |
Reviews and Comments